CMS Price Transparency Data

Prosthetic fitting and training

Facility: Sanford Usd Medical Center

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$42
about 1.1× the $40 Medicare rate · typically $42–$46
modeled estimate · not a bill or quote
What this hospital charges insurers
$42
About the fair price
1.1× Medicare
Medicare pays $40 Fair price $42 This hospital $42 Cash price $122 Hospital's list price $153

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

One of the lower prices — 3 of 4 other SD hospitals charge more for the same procedure.

Cheapest $41 Priciest $142

Black dot = this hospital, among the 5 SD hospitals with a price for this procedure. Full list below.

A fair price for a Prosthetic fitting and training is about $42 (about 1.1× the $40 Medicare rate). Sanford Usd Medical Center charges insurers about $42, or about $122 in cash — about the fair price. Located in Sioux Falls, SD.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $41 - $135 101%
Blue Cross Blue Shieldmajor $41 - $55 101%
Aetnamajor $41 - $117 101%
Health Net $138 341%
HealthPartners $41 - $60 101%
Medica $103 - $110 255%
Sanford Health Plan $38 - $42 94%
Security Health Plan $84 208%
UCare $41 - $108 101%
+ 2 smaller / regional plans $42 - $138
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1305 W 18Th St Post Office Box 5039, Sioux Falls, SD 57117
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals